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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 .1<- IJ -tJr <br />DATE RECE IVED ~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAM~A}C h' () l!, 1 A . <br />JOB ADDRESS ~:_ YO 7 1- . _~ ~ ~ <br /> <br />PHONE <br /> <br />7?g -'62 '..j )/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: DNEW CONSTRUCTION <br />DSIGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INS'l'ALL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK w~~ :3 (' <->..'4'\ ./.L":~f7T'.- <br />L .:..NN(c.."\ lNi:)l1U.c:C: u-JrnH AIIl.~. I _ . <br />BUILDING SIZE SQUARE FOOTAGE <br /> <br />~~ <br />. ~'~r-,- <br /> <br />HEIGHT <br /> <br />RES IDEN'rIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET <br />COMHERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FO~S. <br />I F' SIGN PERMIT ONLY (2) SETS OF' ENGINEERED PLANS REQUIRED. .. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION': <br /> <br />ENERGY FORMS. <br /> <br />......- <br /> <br />$ <br /> <br />d I Dc). <br /> <br />PERMITS REQUESTE6 <br /> <br />" <br /> <br />, ,-0 "". <br /> <br /> <br />~ <br />~------- <br /> <br />o BUILDING <br /> <br />('}( '. <br /> <br />VALUATION OF TOTAL CONS~TTO~- <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />!ff'PIJUMBING <br />o l-1ECHANICAIJ <br /> <br />$- <br /> <br />VALUATION OF' MECHANCIAL INSTALLA'rION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVA'I'IONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />******************************************************************~ <br /> <br />SIGNATURE <br /> <br />~J, u~~~ <br /> <br />COMPANY 8~ J <br />STATE CERT OR REGIST # <br /> <br />~u .( -tk\ <br />/9Jo <br /> <br />~.~ <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />